Uso de antidepresivos durante el embarazo y diabetes gestacional: una revisión sistemática

Autores/as

DOI:

https://doi.org/10.33448/rsd-v11i2.26278

Palabras clave:

Antidepresivo; Diabetes Gestational; Embarazo; Revisión Sistemática.

Resumen

Un alto número de mujeres están expuestas a los antidepresivos durante el embarazo. Teniendo en cuenta que hay una asociación entre la exposición a los antidepresivos y la diabetes tipo 2 en la población general y que las mujeres embarazadas son inherentemente susceptibles a la resistencia a la insulina, este estudio tuvo como objetivo investigar datos en la literatura científica sobre la asociación entre el uso de antidepresivos durante el embarazo y el riesgo de desarrollar diabetes mellitus gestacional (DMG). Esta revisión sistemática fue realizada de acuerdo con las pautas del PRISMA. Se realizaron búsquedas en las bases de datos PubMed, Biblioteca Virtual em Salud (BVS) y Web of Science para identificar estudios observacionales que informaran sobre la asociación entre el uso de antidepresivos durante el embarazo y la DMG. Se excluyeron artículos de revisión, informes de casos, series de casos, ensayos clínicos y estudios en animales. En total, se recuperaron 67 estudios, de los cuales 3 se incluyeron en la revisión sistemática: un estudio de casos y controles y dos estudios de cohortes. Según la Newcastle-Ottawa Scale, los tres estudios se consideraron de alta calidad metodológica. A través de esta revisión sistemática, el uso de inhibidores selectivos de la recaptación de serotonina (ISRS) durante el embarazo no se asocia significativamente con un mayor riesgo de desarrollar DMG. Todavía hay controversias sobre la asociación entre inhibidores de la recaptación de serotonina y norepinefrina (IRSN) y DMG. El uso de antidepresivos tricíclicos, tetracíclicos y atípicos durante el embarazo parece estar asociado con DMG. Por lo tanto, la información disponible sobre el tema es escasa y se necesitan más estudios.

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Publicado

05/02/2022

Cómo citar

CASTRO, B. T. de; AZEVEDO, A. O.; QUARESMA, A. L. P.; NEPOMUCENO, A. F. S. F.; FIGUEIREDO, M. S.; SILVA, L. S. C. da; GAMA, R. S.; CASTRO, C. T. de. Uso de antidepresivos durante el embarazo y diabetes gestacional: una revisión sistemática. Research, Society and Development, [S. l.], v. 11, n. 2, p. e53911226278, 2022. DOI: 10.33448/rsd-v11i2.26278. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/26278. Acesso em: 22 dic. 2024.

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Sección

Ciencias de la salud